MEDICARE: SHAMROCK SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	311ZA0620X	Adult Care Home Facility	94S227	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	94S227	OTHER	IL	CILA LICENSE

General Provider Information

NPI Number	:	1306990601
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHAMROCK SERVICES, LLC

Provider Business Mailing Address
First Line	:	PO BOX 2369
Second Line	:
City	:	MOUNT VERNON
State	:	IL
Zip	:	62864-0046
Country	:	US
Telephone Number	:	618-244-7701
Fax Number	:	618-244-7704

Provider Business Practice Location Address
First Line	:	4219 LINCOLNSHIRE DR
Second Line	:
City	:	MOUNT VERNON
State	:	IL
Zip	:	62864-2157
Country	:	US
Telephone Number	:	618-242-2169
Fax Number	:	618-242-9770

Authorized Official
Title or Position	:	PARTNER
Name	:	BRIDGET P MCDONAGH
Credential	:
Telephone Number	:	618-244-7701

Provider Enumeration Date	:	01/23/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1629049952 — HEARTLAND RADIOLOGY ASSOCIATES LTD
Practice Location Address:

4227 LINCOLNSHIRE DRIVE
MOUNT VERNON, IL
62864-2157

Practice Phone: 618-242-2317
Practice Fax: 618-242-9710

1952371205 — DR. VICENTE A GUECO MD
Practice Location Address:

4227 LINCOLNSHIRE DR
MOUNT VERNON, IL
62864-2157

Practice Phone: 618-242-2317
Practice Fax: 618-242-9710

1962576769 — JJR ENTERPRISES INC
Practice Location Address:

4241 LINCOLNSHIRE DR
MOUNT VERNON, IL
62864-2157

Practice Phone: 618-242-0132
Practice Fax: 618-242-9180

1669524401 — DEVELOPMENTAL PLANNING & SERVICES INC
Practice Location Address:

4219 LINCOLNSHIRE DR
MOUNT VERNON, IL
62864-2157

Practice Phone: 618-242-2117
Practice Fax: 618-242-9770

1316202336 — TDL GROUP, INC.
Practice Location Address:

4241 LINCOLNSHIRE DR
MOUNT VERNON, IL
62864-2157

Practice Phone: 618-242-0132
Practice Fax: 618-242-9180

1801252804 — TDL GROUP, INC.
Practice Location Address:

4241 LINCOLNSHIRE DR
MOUNT VERNON, IL
62864-2157

Practice Phone: 618-242-0132
Practice Fax:

Directions to “SHAMROCK SERVICES, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.